PDF(Pubmed)
Abstract：
UNASSIGNED: We sought to examine the influence of social needs on the relationship between cancer history and colorectal cancer (CRC) screening utilization among adults in the United States.
UNASSIGNED: We conducted a cross-sectional analysis using data from the 2022 Behavioral Risk Factor Surveillance System. Our outcome of interest was utilization of guideline-concordant CRC screening and exposures of interest were cancer history/levels of social needs. Multivariable logistic regression was performed to examine the association.
UNASSIGNED: Among 74,743 eligible adults, a majority did not have a personal history of cancer (87.9 %), had at least one social need (58.4 %), and had undergone CRC screening (72.2 %). In multivariable analysis, a history of cancer was positively associated with use of CRC screening (OR = 1.59, 95 %CI, 1.35 - 1.87). Having at least one social need was associated with lower likelihood of being screened (one social need: OR = 0.85 95 %CI, 0.76 - 0.95; two + social needs: OR = 0.77, 95 % CI, 0.69 - 0.87). When exploring the effects of social needs, adults without a history of cancer who reported at least one need were 12-20 % less likely to be screened for CRC.
UNASSIGNED: A personal history of cancer was associated with greater utilization of CRC screening, whilst having at least one social need had lower screening use. Having social needs plays an important role in reducing screening uptake among adults without a history of cancer. Integrated care that considers both cancer history and social needs may have implications for improved adherence of CRC screening recommendations.
UNASSIGNED: We conducted a cross-sectional analysis using data from the 2022 Behavioral Risk Factor Surveillance System. Our outcome of interest was utilization of guideline-concordant CRC screening and exposures of interest were cancer history/levels of social needs. Multivariable logistic regression was performed to examine the association.
UNASSIGNED: Among 74,743 eligible adults, a majority did not have a personal history of cancer (87.9 %), had at least one social need (58.4 %), and had undergone CRC screening (72.2 %). In multivariable analysis, a history of cancer was positively associated with use of CRC screening (OR = 1.59, 95 %CI, 1.35 - 1.87). Having at least one social need was associated with lower likelihood of being screened (one social need: OR = 0.85 95 %CI, 0.76 - 0.95; two + social needs: OR = 0.77, 95 % CI, 0.69 - 0.87). When exploring the effects of social needs, adults without a history of cancer who reported at least one need were 12-20 % less likely to be screened for CRC.
UNASSIGNED: A personal history of cancer was associated with greater utilization of CRC screening, whilst having at least one social need had lower screening use. Having social needs plays an important role in reducing screening uptake among adults without a history of cancer. Integrated care that considers both cancer history and social needs may have implications for improved adherence of CRC screening recommendations.
摘要：
■我们试图研究社会需求对美国成年人癌症病史与结直肠癌（CRC）筛查利用之间关系的影响。
■我们使用2022年行为风险因素监测系统的数据进行了横截面分析。我们感兴趣的结果是使用指南一致的CRC筛查，感兴趣的暴露是癌症病史/社会需求水平。进行多变量逻辑回归以检查相关性。
■在74,743名符合条件的成年人中，大多数人没有个人癌症史(87.9%)，至少有一种社会需求(58.4%)，并进行了CRC筛查（72.2%）。在多变量分析中，癌症病史与使用CRC筛查呈正相关(OR=1.59,95CI,1.35~1.87).至少有一种社会需求与被筛查的可能性较低相关（一种社会需求：OR=0.8595CI，0.76-0.95；两种社会需求：OR=0.77，95％CI，0.69-0.87）。当探索社会需求的影响时，报告至少有一项需要的无癌症病史的成年人接受CRC筛查的可能性降低12-20%.
■个人癌症史与更多利用CRC筛查相关，而至少有一种社会需要的筛查使用率较低。具有社会需求在减少没有癌症史的成年人的筛查摄取中起着重要作用。考虑癌症病史和社会需求的综合护理可能会对改善CRC筛查建议的依从性产生影响。
■我们使用2022年行为风险因素监测系统的数据进行了横截面分析。我们感兴趣的结果是使用指南一致的CRC筛查，感兴趣的暴露是癌症病史/社会需求水平。进行多变量逻辑回归以检查相关性。
■在74,743名符合条件的成年人中，大多数人没有个人癌症史(87.9%)，至少有一种社会需求(58.4%)，并进行了CRC筛查（72.2%）。在多变量分析中，癌症病史与使用CRC筛查呈正相关(OR=1.59,95CI,1.35~1.87).至少有一种社会需求与被筛查的可能性较低相关（一种社会需求：OR=0.8595CI，0.76-0.95；两种社会需求：OR=0.77，95％CI，0.69-0.87）。当探索社会需求的影响时，报告至少有一项需要的无癌症病史的成年人接受CRC筛查的可能性降低12-20%.
■个人癌症史与更多利用CRC筛查相关，而至少有一种社会需要的筛查使用率较低。具有社会需求在减少没有癌症史的成年人的筛查摄取中起着重要作用。考虑癌症病史和社会需求的综合护理可能会对改善CRC筛查建议的依从性产生影响。
